GC NRS410 Week 1 Discussion Latest 2017 October
The case scenario provided will be used to answer the discussion
questions that follow.
Case Scenario
Ms. G., a 23-year-old diabetic, is admitted to the hospital with a
cellulitis of her left lower leg. She has been applying heating pads to the leg
for the last 48 hours, but the leg has become more painful and she has
developed chilling.
Subjective Data
- Complains
of pain and heaviness in her leg.
- States
she cannot bear weight on her leg and has been in bed for 3 days.
- Lives
alone and has not had anyone to help her with meals.
Objective Data
- Round,
yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus
with moderate amount of thick yellow drainage
- Left
leg red from knee to ankle
- Calf
measurement on left 3 in > than right
- Temperature:
38.9 degrees C
- Height:
160 cm; Weight: 83.7 kg
Laboratory Results
- WBC
18.3 x 10¹² / L; 80% neutrophils, 12% bands
- Wound
culture: Staphylococcus aureus
Critical Thinking Questions
1. What
clinical manifestations are present in Ms. G and what recommendations would you
make for continued treatment? Provide rationale for your recommendations.
2. Identify
the muscle groups likely to be affected by Ms. G's condition by referring to
"ARC: Anatomy Resource Center."
3. What is
the significance of the subjective and objective data provided with regard to
follow-up diagnostic/laboratory testing, education, and future preventative
care? Provide rationale for your answer.
4. What
factors are present in this situation that could delay wound healing, and what
precautions are required to prevent delayed wound healing? Explain.
GC NRS410 Week 2 Discussion Latest 2017 October
The American Cancer Society (ACS) is a
nationwide, community-based, voluntary health organization dedicated to
eliminating cancer as a major health problem. Together with its supporters, ACS
is committed to helping people stay well and get well by finding cures and by
fighting back.Critical Thinking
Questions:
1. Imagine
that a family friend or colleague has just been diagnosed with cancer. Explain
how the American Cancer Society might provide education and support. What ACS
services would you recommend and why?
2. According
to statistics published by the American Cancer Society, there will be an
estimated 1.5 million new cancer cases diagnosed each year over the next
decade. What factors contribute to the yearly incidence and mortality rates of
various cancers in Americans? What changes in policy and practice are most
likely to affect these figures over time
3. Select a
research program from among those funded by the American Cancer Society.
Describe the program and discuss what impact the research will have on the
prevention or treatment of cancer.
GC NRS410 Week 3 Discussion Latest 2017 October
Use the following Case Scenario, Subjective Data, and Objective
Data to answer the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of hypertension,
chronic heart failure, and sleep apnea. She has been smoking two packs of
cigarettes a day for 40 years and has refused to quit. Three days ago, she had
an onset of flu with fever, pharyngitis, and malaise. She has not taken her
antihypertensive medications or her medications to control her heart failure
for 4 days. Today, she has been admitted to the hospital ICU with acute
decompensated heart failure.
Subjective Data
1. Is very
anxious and asks whether she is going to die.
2. Denies
pain but says she feels like she cannot get enough air.
3. Says her
heart feels like it is "running away."
4. Reports
that she is so exhausted she cannot eat or drink by herself.
Objective Data
1. Height
175 cm; Weight 95.5 kg
2. Vital
signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
3. Cardiovascular:
Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses
are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates
a ventricular rate of 132 and atrial fibrillation
4. Respiratory:
Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy
blood-tinged sputum; SpO2 82%
5. Gastrointestinal:
BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions
What nursing interventions are appropriate for Mrs. J. at the time
of her admission? Drug therapy is started for Mrs. J. to control her symptoms.
What is the rationale for the administration of each of the following
medications?
1. IV
furosemide (Lasix)
2. Enalapril
(Vasotec)
3. Metoprolol
(Lopressor)
4. IV
morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart
failure and what can be done in the form of medical/nursing interventions to
prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at
least six prescription medications, discuss four nursing interventions that can
help prevent problems caused by multiple drug interactions in older patients.
Provide rationale for each of the interventions you recommend.
GC NRS410 Week 4 Discussion Latest 2017 October
Use the image in "Discussion Question Resource: Chest
X-Ray" to answer the following Critical Thinking Questions.
Examine the x-ray of a patient diagnosed with pneumonia due to
infection with Mucor. Refer to the "Module 4 DQ Chest Xray" resource
in order to complete the following questions.
Critical Thinking Questions
1. Explain
what Mucor is and how a patient is likely to become infected with Mucor.
Describe the pathophysiologic progression of the infection into pneumonia and
at least two medical/nursing interventions that would be helpful in treating
the patient.
2. Examine
the laboratory blood test results and arterial blood gases provided in
"Discussion Question Resource: Laboratory Blood Test Results." What
laboratory values are considered abnormal? Explain each abnormality and discuss
the probable causes from a pathophysiologic perspective.
3. What
medications and medical treatments are likely to be prescribed by the attending
physician on this case? List at least three medications and three treatments.
Provide rationale for each of the medications and treatments you suggest.
4.
GC NRS410 Week 5 Discussion Latest 2017 October
The case scenario provided will be used to answer the discussion
questions that follow.
Case Scenario
Mr. C., a 32-year-old single man, is seeking information at the
outpatient center regarding possible bariatric surgery for his obesity. He
reports that he has always been heavy, even as a small child, but he has gained
about 100 pounds in the last 2–3 years. Previous medical evaluations have not
indicated any metabolic diseases, but he says he has sleep apnea and high blood
pressure, which he tries to control with sodium restriction. He current works
at a catalog telephone center.
Objective Data
1. Height:
68 inches; Weight 134.5 kg
2. BP:
172/96, HR 88, RR 26
3. Fasting
Blood Glucose: 146/mg/dL
4. Total
Cholesterol: 250mg/dL
5. Triglycerides:
312 mg/dL
6. HDL: 30
mg/dL
Critical Thinking Questions
What health risks associated with obesity does Mr. C. have? Is
bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the following
medications have been ordered:
1. Magnesium
hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3
hours after mealtime and at bedtime.
2. Ranitidine
(Zantac) 300 mg PO at bedtime.
3. Sucralfate/Carafate
1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and
a bedtime snack at 10 p.m. Plan an administration schedule that will be most
therapeutic and acceptable to the patient.
1. Assess
each of Mr. C.'s functional health patterns using the information given. (Hint:
Functional health patterns include health-perception – health management,
nutritional – metabolic, elimination, activity-exercise, sleep-rest,
cognitive-perceptual, self-perception – self-concept, role-relationship,
sexuality – reproductive, coping – stress tolerance.)
2. What
actual or potential problems can you identify? Describe at least five problems
and provide the rationale for each.
GC NRS410 Week 1 Assess your Knowledge of
Foundational Concepts Latest 2017 October
1
CATEGORY anatomy
QUESTION Which of the following is true of the biological
functions of testosterone?
2
CATEGORY anatomy
In performing a physical assessment, the nurse notes the patient
has a “barrel configuration to the chest. This is a consequence of:
3
CATEGORY anatomy
QUESTION Backward effects of left-sided heart failure include:
4
CATEGORY anatomy
QUESTION Which of the following is true of the biological
functions of estrone?
5
CATEGORY anatomy
Oxygen saturation is likely to be lowest when an asthmatic with a
diagnosis of pneumonia is positioned:
6
CATEGORY biology
The signs and symptoms of anemia are all related to what common
pathophysiologic feature of the condition?
7
CATEGORY biology
QUESTION Common manifestations of bacterial pneumonia include all
of the following except:
8
CATEGORY biology
QUESTION The diet of a patient in end-stage kidney disease is
restricted in all of the following except:
9
CATEGORY biology
QUESTION Closed drainage systems work to re-expand a lung after
pneumothorax by:
10
CATEGORY biology
QUESTION In addition to hypertension, pre-eclampsia is
characterized by:
11
CATEGORY chemistry
On the normal oxyhemoglobin curve, if the Oâ‚‚ saturation is 88%,
it would correlate with a PaOâ‚‚ of approximately:
12
CATEGORY chemistry
QUESTION What is the physiological function of gluconeogenesis?
13
CATEGORY chemistry
QUESTION The oxyhemoglobin dissociation curve represents the
relationship between the:
14
CATEGORY chemistry
QUESTION List the enzymes whose levels are elevated in the blood
serum following an MI.
15
CATEGORY chemistry
QUESTION What effect does glycogen metabolism have on glucose
levels?
16
CATEGORY pathophysiology
A patient with a prolonged episode of nausea, vomiting and
diarrhea has an ABG ordered on admission. You might expect the results to show:
17
CATEGORY pathophysiology
You are reviewing the results of an ABG. Both the pH and the HCO³
values are abnormal and match. The primary problem is:
18
CATEGORY pathophysiology
Interpret the following ABG results. pH 7.45 pCO₂ 26 HCO₃ 16
19
CATEGORY pathophysiology
Interpret the following ABG results. pH 7.21 pCO₂ 60 HCO₃ 24
20
CATEGORY pathophysiology
Interpret the following ABG results pH 7.28 pCO₂ 40 HCO₃ 18
21
CATEGORY pharmacology
QUESTION The purposes of epinephrine injection include all of the
following except:
22
CATEGORY pharmacology
QUESTION What is the medical application of cortisone? Cortisone
is used to treat:
23
CATEGORY pharmacology
QUESTION How do sulfa drugs selectively kill bacteria while
causing no harm to humans?
24
CATEGORY pharmacology
QUESTION What occurs when glycogen metabolism is stimulated by
insulin?
25
CATEGORY pharmacology
Your patient is interested in trying medication to improve low
mood / depression. All of the following medications might be appropriate
except:
GC NRS410 Week 2 Assignment Latest 2017 October
Details:
Write a paper (1,250-1,750 words) describing the approach to care
of cancer. In addition, include the following in your paper:
1. Describe
the diagnosis and staging of cancer.
2. Describe
at least three complications of cancer, the side effects of treatment, and
methods to lessen physical and psychological effects.
3. Prepare
this assignment according to the APA guidelines found in the APA Style Guide,
located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using
the
rubric to grade the assignment; therefore, students should review the rubric
prior to beginning the assignment to become familiar with the assignment
criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to
the directions in the Student Success Center. Only Word documents can be
submitted to Turnitin.
GC NRS410 Week 3 Assignment 1 Latest 2017 October
Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the
beginning of the current golf season, Ms. A has noted increased shortness of
breath and low levels of energy and enthusiasm. These symptoms seem worse
during her menses. Today, while playing in a golf tournament at a high,
mountainous course, she became light-headed and was taken by her golfing
partner to the emergency clinic. The attending physician’s notes indicated a
temperature of 98 degrees F, an elevated heart rate and respiratory rate, and
low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a
problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for
6 days during menstruation.” During the summer months, while playing golf, she
also takes aspirin to avoid “stiffness in my joints.”
Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.
Question
Considering the circumstances and the preliminary workup, what
type of anemia does Ms. A most likely have? In an essay of 500-750 words,
explain your answer and include rationale.
GC NRS410 Week 3 Assignment 2 Latest 2017 October
Case Study 2
Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive
heart failure who has been hospitalized frequently to treat CHF symptoms. He
has difficulty maintaining diet restrictions and managing his polypharmacy. He
has 4+ pitting edema, moist crackles throughout lung fields, and labored
breathing. He has no family other than his wife, who verbalizes sadness over
his declining health and over her inability to get out of the house. She is
overwhelmed with the stack of medical bills, as Mr. P always took care of the
financial issues. Mr. P is despondent and asks why God has not taken him.
Question
Considering Mr. P’s condition and circumstance, write an essay of
500-750 words that includes the following:
· Describe your approach to care.
· Recommend a treatment plan.
· Describe a method for providing both the patient and family with
education and explain your rationale.
· Provide a teaching plan (avoid using terminology that the
patient and family may not understand).
GC NRS410 Week 4 Assignment Latest 2017 October
Details:
This is a CLC assignment.
As a group, observe the simulated "Home Visit With Sallie Mae
Fisher" video
(http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).
Refer to "Sallie Mae Fisher's Health History and Discharge
Orders" for specifics related to the case study used to inform the
assignment.
Using "Home Visit With Sallie Mae Fisher" and
"Sallie Mae Fisher's Health History and Discharge Orders," complete
the following components of this assignment:
Essay Portion
After viewing the home visit, write an essay of 500-750-words in
which you do the following:
Identify, prioritize, and describe at least four problems.
Provide substantiating evidence (assessment data) for each problem
identified.
Identify and describe at least four medical and/or nursing
interventions.
Discuss your rationale for the interventions identified.
Prepare this step of the assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center.
An abstract is not required.
Scripted Dialogue Portion
Utilizing the information learned from the home visit, health
histories, and discharge orders, write a scripted dialogue in which you provide
Sallie Mae with education that describes her problems and the interventions
identified to improve her condition. Consider Sallie Mae's physiological,
psychosocial, educational, and spiritual needs when developing your dialogue.
Your dialogue should resemble a script. The following is an
example of a few sentences from a scripted dialogue:
Nurse: "Good morning, Salle Mae, my name is ______ and I will
be your nurse today. I understand you are experiencing problems with
________."
Sallie Mae Fisher’s Health History
and Discharge Orders
Sallie Mae Fisher Health History
Ms. Fisher is an 82-year-old female with a history of chronic
congestive heart failure (CHF), atrial fibrillation, and hypertension. During
the last 6 months, she has been hospitalized four times for exacerbation of her
CHF. She was discharged home last Saturday from the hospital after a 3-day stay
to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Fisher is recently widowed and lives alone. She has a
daughter, Thelma Jean, who lives in town but works full time and has family
issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions
· Mountain Top Home Health to evaluate cardio-pulmonary status,
medication management, and home safety.
· Medical Equipment Company to deliver oxygen concentrator and
instruct patient in use. O2 at 2 liters per nasal prongs PRN.
· Prescriptions given at discharge:
o Digoxin 0.25 mg once a day
o Lasix 80 mg twice a day
o Calan 240 mg once a day
· Order written to continue other home meds.
Sallie Mae’s Home Medication List
· Zocar 50 mg once a day
· Minipres 1 mg once a day
· Vasotec 10 mg twice a day
· Prilosec 20 mg once a day
· Furosemide 40 mg once a day
· Effexor 37.5 mg at bedtime
· Lanoxin 0.125 mg every other day
· Multivitamin once a day
· Potassium 40 mEq once a day
· Ibuprofen 400 mg q 4 hours as needed for pain
· Darvocet N 100 mg q 4 hours as needed for pain
· Nitroglycerin ointment, apply 1 inch every day
GC NRS410 Week 5 Benchmark Assignment Latest 2017
October
Details:
Identify a research or evidence-based article that focuses comprehensively
on a specific intervention or new diagnostic tool for the treatment of diabetes
in adults or children.
In a paper of 750-1,000 words, summarize the main idea of the
research findings for a specific patient population. Research must include
clinical findings that are current, thorough, and relevant to diabetes and the
nursing practice.
Prepare this assignment according to the APA guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.
This assignment uses a grading rubric. Instructors will be using
the rubric to grade the assignment; therefore, students should review the
rubric prior to beginning the assignment to become familiar with the assignment
criteria and expectations for successful completion of the assignment.
GC NRS410 Week 5 Assignment 2 Latest 2017 October
Details:
Based on the summary of research findings identified from the
Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool
or intervention for the treatment of diabetes in adults or children, complete
the following components of this assignment:
Develop a PowerPoint presentation (a title slide, 6-12 slides, and
a reference slide; no larger than 2 MB) that includes the following:
1. A brief
summary of the research conducted in the Evidence-Based Project – Paper on
Diabetes.
2. A
descriptive and reflective discussion of how the new tool or intervention may
be integrated into practice that is supported by sound research.
While APA format is not required for the body of this assignment,
solid academic writing is expected, and in-text citations and references should
be presented using APA documentation guidelines, which can be found in the APA
Style Guide, located in the Student Success Center.
